This case report illustrates the development of Takotsubo cardiomyopathy secondary to acute intracerebral hemorrhage, emphasizing the clinical importance of the heart-brain connection in acute neurological events.
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Takotsubo cardiomyopathy can mimic stroke in ICH; single case leaves open whether echo screening changes management.
Takotsubo cardiomyopathy may present like acute coronary syndrome and is characterized by reversible left ventricular (LV) apical ballooning in the absence of any significant underlying coronary artery disease. A 65-year-old lady presented to the ED with history of sudden onset left-sided weakness of body. Head CT scan was suggestive of right gangliocapsular intracerebral bleed with intraventricular extension. 2D Echo showed characteristic LV apical ballooning with hypokinesia and LV ejection fraction of 25%-30%. Diagnosing Takotsubo cardiomyopathy includes resolution in electrocardiogram (ECG) changes and reversible LV dysfunction on two-dimensional echocardiogram, and a normal coronary angiography.
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Nagpal et al. (2019) studied this question.
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